PURE WELLNESS CLINIC, PLLC
NPI 1760236004
Nurse Practitioner - Family in Willowbrook, IL

Active since April 15, 2024
6853 KINGERY HWY, WILLOWBROOK, IL 60527(630) 387-6577(630) 387-6854 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 5, 2025, Apr 12, 2025, Apr 23, 2024 and 1 more (4 updates tracked since 2024).

About Pure Wellness Clinic, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PURE WELLNESS CLINIC, PLLC (NPI 1760236004) is a healthcare organization registered as a family in Willowbrook, Illinois and active in the NPI registry since April 2024. The organization lists Yuliya L Rashevska, Aprn, as its authorized official.

NPPES Registry Identity

NPI1760236004
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePURE WELLNESS CLINIC, PLLC
Location Address6853 KINGERY HWYWillowbrook, IL 60527-5114
Mailing Address5048 Prairie Sage LnNaperville, IL 60564-4321 · (708) 745-0832 · Fax (630) 387-6854
Fax(630) 387-6854
Organization SubpartNo
Authorized OfficialYuliya L RashevskaAprn · (630) 387-6577
Enumeration DateApril 15, 2024
Last NPPES UpdateSeptember 5, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1760236004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
6853 KINGERY HWY, Willowbrook, IL 60527

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pure Wellness Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pure Wellness Clinic, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1619526175
6853 KINGERY HWY
Willowbrook, IL 60527
(630) 387-6577
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pure Wellness Clinic, PLLC's NPI number?

The NPI number for Pure Wellness Clinic, PLLC is 1760236004. It was assigned to this organization in the NPPES registry on April 15, 2024.

Where is Pure Wellness Clinic, PLLC located?

Pure Wellness Clinic, PLLC is located at 6853 Kingery Hwy, Willowbrook, IL 60527. The listed phone number is (630) 387-6577.

What is Pure Wellness Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Pure Wellness Clinic, PLLC enrolled in Medicare?

Yes. Pure Wellness Clinic, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pure Wellness Clinic, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pure Wellness Clinic, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pure Wellness Clinic, PLLC was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.